Fanelli Gregory C, Beck John D, Edson Craig J
Department of Sports Medicine and Orthopaedics, Geisinger Health System, Danville, Pennsylvania, USA.
J Knee Surg. 2010 Jun;23(2):89-94. doi: 10.1055/s-0030-1267467.
The keys to successful posterior cruciate ligament (PCL) reconstruction are to identify and treat all pathology, use strong graft material, accurately place tunnels in anatomic insertion sites, minimize graft bending, use a mechanical graft tensioning device, use primary and back-up graft fixation, and use the appropriate postoperative rehabilitation program. Adherence to these technical principles results in successful single-bundle and double-bundle arthroscopic transtibial tunnel PCL reconstruction based on stress radiography, arthrometer, knee ligament rating scales, and patient satisfaction measurements.
成功进行后交叉韧带（PCL）重建的关键在于识别并处理所有病变情况，使用坚固的移植材料，在解剖学插入部位精确放置隧道，尽量减少移植物弯曲，使用机械移植物张紧装置，采用初次和备用移植物固定方法，并采用适当的术后康复计划。遵循这些技术原则可实现基于应力放射成像、关节测角计、膝关节韧带评分量表以及患者满意度测量的成功单束和双束关节镜下经胫骨隧道PCL重建。
